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NPI 1942416938

OrganizationActive

47th and Vicennes Professional

NPI 1942416938 · Clinic Pharmacy · Chicago, IL

Provider details

NPI number: 1942416938
Entity type: Organization
Primary specialty: Clinic PharmacySuppliers
Authorized official: Zarooq Sabayo, Pharmcist
License: 054014942 (IL)

Practice location

504 E 47th St

Chicago, IL 60653-4208

Phone: (773) 624-0613

Fax: (773) 624-0204

More IL providers

Mailing address

504 - 506 E 47th St

Chicago, IL 60653-4208

Registry dates

Enumerated: 2007-05-15
Last updated: 2008-06-18

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

47th and Vicennes Professional — NPI 1942416938, Chicago, IL | NPI Central